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James W. Caron, Ed.D. Connections Child and Adolescent Group Program

Intake and Registration Forms

If you’re a first-time client, please review and complete the following forms, and bring them to your first session:

  • Client Intake Form
  • Limits of Confidentiality/Cancellation Policy Form

If you would like me to coordinate care with another provider, please complete a separate copy of this form, for each provider or agency (e.g. school, pediatrician, other mental health provider, etc.):

  • Authorization for Release of Information Form

Note: To download Adobe Acrobat Reader for free, click here.